| NPI | 1407232150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SEMMANN Operations Director 262-345-5560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2015-08-05 |
| Last Update Date | 2015-08-05 |